Protrusion of pink tissue from the vagina that may be irritated or itchy

Diagnosis

You will be asked about your symptoms and medical history. A physical exam will be done. Uterine prolapse without symptoms may be diagnosed during routine examinations. Your doctor may refer you to a gynecologist, who will do a pelvic exam.

Treatment

Talk with your doctor about the best treatment plan for you. First or second degree prolapse without symptoms may not require treatment. Treatment options include:

Kegel Exercises

Kegel exercises
involve tensing the muscles around the vagina and anus, holding for several seconds, then releasing. The repetition of this exercise will help to tone pelvic muscles.

Medication

Your doctor may recommend estrogen therapy. This may help prevent further weakness of the pelvic floor.

Pessary Insertion

Your doctor may insert a pessary into the upper portion of the vagina. A pessary is a rubbery, doughnut-shaped device. It helps to prop up the uterus and bladder. Pessary placement is more often used in older women.

Your doctor may insert a pessary into the upper portion of the vagina. A pessary is a rubbery, doughnut-shaped device. It helps to prop up the uterus and bladder. Pessary placement is more often used in older women.

Surgery

Surgery may be needed for severe uterine prolapse. These procedures are usually not done until you have finished having children. Options include:

Hysterectomy—This is the removal of the uterus. This will permanently resolve uterine prolapse.

Vaginal repair—This is usually done with a hysterectomy. The repair can be done with sutures or with insertion of mesh and slings.

Colpocleisis—This involves closing the vagina. It is done only in women who are elderly and who are no longer sexually active.

Prevention

To help reduce your chance of uterine prolapse:

Do
Kegel exercises.

Maintain a healthy weight.

To avoid constipation, eat plenty of fruits, vegetables, and whole grains. Drink plenty of fluids throughout the day.

If you smoke,
talk to your doctor about ways to quit
. Smoking may cause chronic coughing and weakening of connective tissues.

Limit heavy lifting.

Revision Information

This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.